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GRATEFUL HEART MEDICAL SERVICES PLLC NPI 1336714708


NPI Information

NPI: 1336714708
Provider Name: GRATEFUL HEART MEDICAL SERVICES PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4210 FAIRMOUNT ST
DALLAS, TX
ZIP 75219
Phone: (469) 363-1058
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GRATEFUL HEART MEDICAL SERVICES PLLC is an internal medicine in Dallas, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GRATEFUL HEART MEDICAL SERVICES PLLC NPI is 1336714708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4210 FAIRMOUNT ST
DALLAS, TX
ZIP 75219-335
Phone: (469) 363-1058

The provider's authorized official is Adetomiwa I Ogundere .
The authorized official title is Ceo and has the following contact phone number (469) 363-1058.

The enumeration date for this NPI number is 5/26/2021 and was last updated on 5/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes
2251E00000XHome HealthNo
3251F00000XHome InfusionNo
4251J00000XNursing CareNo
5251K00000XPublic Health or WelfareNo
6251V00000XVoluntary or CharitableNo
7252Y00000XEarly Intervention Provider AgencyNo
8261QC1500XClinic/CenterCommunity HealthNo
9261QH0100XClinic/CenterHealth ServiceNo
10261QP2300XClinic/CenterPrimary CareNo
11261QR0800XClinic/CenterRecovery CareNo
12261QR1300XClinic/CenterRural HealthNo
13302R00000XHealth Maintenance OrganizationNo
14343900000XNon-emergency Medical Transport (VAN)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.